REGISTRATION FORM Full Name (required) Surname (required) Statutory council registration number Cellular Number (required) Your Email (required) Any special dietary requirements Workshop you wish to attend: (Please indicate) An Alternative view on reading difficulties - 24 March 2017 (8:30-13:30)Mastering Accommodations - 21 April 2017 (8:30-13:30)Mastering Accommodations - Durban 12 May 2017 (8:30-13:30)Mastering Accommodations - Cape Town 2 June 2017 (8:30-13:30)Resilience building in Teens - 26 May 2017 (8:30-13:30)DrugEd: reality of drugs in our schools - 22 June 2017 (8:30-15:30)Animated Affinity Therapy - 28 July 2017 (8:30-13:30)Record keeping for Psychologists - 31 August 2017 (8:30-15:30)Remedial strategies for the Intelligence Scales - 22 September 2017 (8:30-13:30)See my pain. Creative strategies and activities for young people who self-harm - 26 Oct 2017 (8:30-13:30)Busting the modern face of female bullying (Relational Aggression) - 24 November 2017 (8:30-13:30)Impact Therapy - 1 December 2017 (8:30-13:30)ADHD. Who is in control - January 2018 (8:30-13:30) CPD Terms & Conditions 1) GENERAL INFORMATION All the workshops (venue-based) have been accredited for CPD/CEU points, as advertised per workshop. A CPD/CEU certificate will be provided to each attendee upon successful completion of a workshop. DISCLAIMER: Presenters and attendees of all CPD activities must please note that the attainment of continuing education units (CEUs) does not licence any professional to practice outside their official scope of practice. CEUs are intended to broaden the knowledge of professionals but do not constitute professional training. Professionals should be registered with the HPCSA to perform any psychological act. All workshops developed in whole or in part by Dr. Kruger is her intellectual property Reproduction/use/distribution in part or in full will be deemed an infraction of copyright law. Kruger takes your privacy seriously and will take all reasonable measures to protect your personal information. Any personal information received will only be used to complete your registration and for access to the newsletter. Dr. Kruger will not sell or redistribute your information to anyone. The CPD workshops are presented in English in order to accommodate everyone. There will be some workshops that will have Afrikaans documents available. 2) REGISTRATION AND PAYMENT INFORMATION Registration will only be completed once registration AND payment is received before the closing date. EFT Payments can be made to: FNB- Cheque account Acc no: 625 1200 6455 Branch code: 210243 Reference: Your name and CPD date. Closing date is at 16:00 the Monday before each workshop. No bookings are available on the day of the workshop. It is essential that proof of payment is e-mailed to drkruger@edu-psych.co.za Your bank and administration costs incurred will be for your account. The number of participants at each workshop is limited and acceptance will be on a first registration, first full payment basis. Allocation of CPD points require: Arrival on time to sign attendance register (registrations close 15 minutes after the start of the session). The attendance register will be open from 8 am. Attending the full duration of the workshop. Signing out of the attendance register at the end of the workshop. Dr. Kruger will not be held responsible for any errors (for example the council number on the certificate) as a result of incorrect information being entered on the booking form. All details to be checked thoroughly before submitting the booking as these details will be used on all official documentation pertaining to the CPD event. In order to be eligible for student discount, the student must supply a copy of their student card/proof of registration. All cancellations are to be in writing and addressed to drkruger@edu-psych.co.za 5 days prior to the CPD event that was registered for. Participant cancellations received 5 or more working days prior to commencement of the workshop will incur a 50% workshop charge. No refunds will be made in the event of cancellation after the 5 [five] day period, but delegate-substitutions will be permitted. The new delegate must book online or forward a completed registration form to drkruger@edu-psych.co.za In the case of non-arrival no refunds will be made. Check here if you accept the Term and Conditions (required) Yes, I accept